ENT Updates

Clinical Research

Tympanoplasty type 1 in the treatment of patients with sclerotic mastoid: anatomical and functional results

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https://doi.org/10.2399/jmu.2014003003
Dündar, R., Kemal Soy, F., Kulduk, E., Özbay, C., Özkul, Y., & Yükkaldıran, A. (2014). Tympanoplasty type 1 in the treatment of patients with sclerotic mastoid: anatomical and functional results. ENT Updates, 4(3). https://doi.org/10.2399/jmu.2014003003
Volume 4 Issue 3 (2014)
Copyright (c) 2014 Rıza Dündar, Fatih Kemal Soy, Erkan Kulduk, Can Özbay, Yılmaz Özkul, Ahmet Yükkaldıran
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Rıza Dündar
    Department of Otorhinolaryngology, Harran University Medical Faculty, Şanlıurfa, Turkey
  • Fatih Kemal Soy Department of Otorhinolaryngology, Mardin Government Hospital, Mardin, Turkey
  • Erkan Kulduk Department of Otorhinolaryngology, Mardin Government Hospital, Mardin, Turkey
  • Can Özbay Department of Otorhinolaryngology, Adnan Menderes University Medical Faculty, Aydın, Turkey
  • Yılmaz Özkul Department of Otorhinolaryngology, Izmir Katip Çelebi University Medical Faculty, Izmir, Turkey
  • Ahmet Yükkaldıran Department of Otorhinolaryngology, Harran University Medical Faculty, Şanlıurfa, Turkey

Objective: To evaluate success of tympanoplasty type 1 in the treatment of patients with sclerotic mastoid bone.

Methods: A retrospective study where 92 patients with non-cholesteatomatous chronic suppurative otitis media were recruited during the period of 2010 to 2012. Patients were managed medically and after dryness of their perforations they were operated upon. Ninety-two patients underwent type 1 tympanoplasty alone without cortical mastoidectomy. Underlay technique with chondroperichondrial graft was performed for all patients.

Results: Mean air-bone gap values were estimated and compared. In pre- and postoperative audiograms, air-bone gap values at 500, 1000, 2000 and 4000 Hz frequencies were determined. Pre- and postoperative mean air-bone gap values of the patients were 23.47±4.95 and 11.58±4.77 dB, respectively.

Conclusion: Our study emphasizes the fact that overall satisfactory hearing outcome with adequate air-bone closure can be achieved irrespective of cortical mastoidectomy in the surgical treatment of noncomplicated chronic ear diseases.

Keywords:

Tympanoplasty mastoidectomy chronic otitis media